Medical Services

The Medical Services Division coordinates and manages Paediatrics, Cardiology, Mental Health, Nutrition, Social Work, Cancer Treatment Centre, Renal, Respiratory Infectious Disease Unit, Endoscopy, Comprehensive Care Centre, Endocrinology/Diabetes Centre and Haemophilia.

The Department of Paediatrics offers services to children aged 0-12 years. The department’s motto is “a healthy happy child.”

Specialized services:
  • Cardiology, Neurology, Endocrinology, Nephrology, Infectious Diseases, Pulmonology, Oncology, Critical Care, Gastroenterology, Neonatology, General Paediatrics, Clinical paediatric service.
  • Four specialized Paediatrics wards on third floor, 3A Cardiology, Pulmonology and infectious diseases, 3B Neurology, Endocrinology, 3C Gastroenterology, Nephrology & 3D Haematology and Rheumatology.
  • Paediatrics Specialized units on second floor: Paediatric ICU, Renal, and Kangaroo Mother care
  • Paediatrics Specialized unit on first floor: New Born Unit and Neonatal ICU and Oncology ward (ward 1E)
  • On the ground floor, a Paediatrics Emergency Unit (PEU) and Paediatrics Outpatient Consultants Clinics including Outpatient Chemotherapy Clinic, Paediatrics CCC (Comprehensive Care Clinic), and various follow up clinics for all inpatient specialized services and PDU (Paediatric Demonstration Unit) which offer immunization, nutrition, and well-baby clinic care.
The Cancer Treatment Centre provides care for patients with Oncology disorders. KNH Cancer Treatment Center has been offering cancer care for over 50 years. Our comprehensive cancer programs provide a full spectrum of treatment and follow-up care.
Specialized services:
  • Chemotherapy, Hormone therapy, Immunotherapy, Radiation therapy, Targeted therapy, Brachytherapy, Pain & Palliative Care and Patient Navigation
Milestones:
  • A multidisciplinary team approach (surgery, chemotherapy & radiation therapy) to the management of cancers with the aim of improvement in survival rates, reduction in morbidity, preservation of a good quality of life; and organ, function & fertility preservation whenever possible without compromising cure.
  • Cutting-edge sophisticated modern infrastructure like Linear Accelerator and CT Simulator.
Ongoing activities
  • A multidisciplinary team approach (surgery, chemotherapy & radiation therapy) to the management of cancers with the aim of improvement in survival rates, reduction in morbidity, preservation of a good quality of life; and organ, function & fertility preservation whenever possible without compromising cure.
  • Cutting-edge sophisticated modern infrastructure like Linear Accelerator and CT Simulator.
Future plans
  • Nuclear Medicine Unit
  • To build modern Molecular imaging and Cancer Treatment Centre
  • Specialized Geriatric Oncology Clinic
Mental health services have been available in KNH since the establishment of the Department of Psychiatry, University of Nairobi, in the 1970s.

The Department of Mental Health is located in the Old Hospital on the ground floor behind the Human Resource Division and adjacent to the Dental Unit.
Specialized services:
  • Child Psychiatry Clinic on Mondays from 8AM
  • Adolescent Psychiatry Clinic on Tuesday from 8AM
  • Psychotherapy Clinic on Tuesday from 8AM
  • Adult (General) Psychiatry Clinic on Wednesday from 8AM
  • Gender Based Violence Management daily from Monday to Friday
  • Liaison Psychiatry services 24/7
  • Social work evaluation, referral and management
  • Rehabilitation through Occupational therapy
  • Support Group sessions for people suffering from depression once a month
  • Support Group sessions for persons recovering from alcohol and drugs, once a month
Future Plans
  • Provision of Psychometric services
Nutrition services at KNH were instituted in the early 1970s. The Nutrition Department is responsible for the provision of Medical Nutrition Therapy services for the purpose of disease management in patients. Medical Nutrition Therapy is a specific application of the Nutrition Care Process in clinical settings that is focused on the management of diseases.

The Nutrition Department is located on 2nd floor of the Old Hospital at Kenyatta National Hospital. For further information, please contact: Nutrition Department, KNH -020 2726300
The Nutrition Department works with patients, healthcare staff and the general public to promote optimum nutrition. These include:
  1. Individuals and groups who need to change their diet and related behavior to alleviate or cure a medical condition.
  2. Individuals and groups who can prevent disease and ill health by changing their diet and related behavior.
  3. Work with the catering and nursing services to ensure that all patients are offered appropriate foods to meet their nutritional requirements, considering their medical condition, dietary and/or cultural restrictions.
Nutritionists provide nutrition care, advice and education to patients while they are in and out of hospital after discharge.

Inpatient Services
  1. Our inpatient services are delivered by a team of Nutrition experts who provide specialized nutrition and dietetic services in all wards and specialized units in the Hospital. The Nutritionists carry out nutrition screening to identify patients who require nutrition care. The services are available from Monday to Friday, and on consultation over the weekend between 8 AM to 5 PM.
  2. We use a range of assessment techniques to devise and review nutrition care plans for patients namely anthropometric assessment, biochemical assessment, clinical assessments, dietary assessments and nutrition focused physical findings.


Outpatient Services
The Department provides outpatient nutrition services to aid the general public with management of specific dietary needs in different health conditions, including cardiac care, diabetes, kidney disease, maternal infant and young child nutrition, obesity among others. Our nutrition experts provide nutritional care and advice about lifestyle maintenance and good nutrition at:
  • The Diet Advisory Clinic (DAC)
  • Maternal and Child Health Clinic (MCHC) (No.66)
  • Obstetrics and Gynaecology Clinic (No.18)
  • Paediatric Outpatient Clinic (No.23)
  • Diabetes and Endocrinology Centre
  • Renal Clinic
The services are available from Monday to Friday, between 8 AM to 5 PM.

Milestones
  1. We have a Workplace Breastfeeding Support Room for KNHstaff
  2. We train approximately 75 healthcare workers in Maternal Infant and Young Child Nutrition annually
  3. We train over 40 interns on comprehensive nutrition management of all disease conditions annually
Ongoing Activities
  1. Developing curriculum materials for establishment of Continuous Professional Development (CPD) provider’s program for Nutrition and Dietetics professionals
  2. Spearheading the annual World Breastfeeding Week
  3. Student/Intern training on practicum attachment from both local and international institutions of higher learning. We also train over 40 Nutrition Interns annually placed by the Kenya Nutritionists and Dietitians Institute.
  4. Facilitating in-service trainings for healthcare providers from both public and private institutions and offers three courses annually on Maternal Infant and Young Child Nutrition at KNH Lactation Centre in ward 1A. The course is open to KNH staff and other external participants at a fee.
  5. Facilitating both in-house trainings and other trainings in collaboration with MOMs/MOPHS/partners.
  6. Conducting research aimed at improving health services at KNH. Nutritionists also participate in scientific fora to share information and gain knowledge.
  7. Participating in national health planning and policy formulation in conjunction with MOH and other stakeholders.
Future plans
  1. Plans are underway to make KNH Nutrition Department a CPD provider.
  2. To be a major player in capacity building by running short nutrition specialization courses
Kenyatta National Hospital Comprehensive Care Center was established in December 2002 to offer holistic care and support to patients infected and affected by HIV/AIDS.

The Comprehensive Care Centre (CCC) is situated at the Rahimtulla Wing of the hospital, and is a center of excellence and best practices for HIV treatment and care.

The clinic operates Monday to Friday and Saturdays for Psychosocial support groups from 7 AM to 5 PM.

The CCC acts as the referral center for those patients who have developed complications from antiretroviral treatment from the whole country or those patients who have failed on the first line of treatment and require to be started on second line therapy.

Services offered:
  • Clinical care which antiretroviral drug initiation, treatment of opportunistic infections and monitoring of patients
  • Specialized advance HIV Care clinics including senior citizen, MDT
  • Laboratory services; both baseline and monitoring tests. For example, CD4/CD8, Complete Blood Count, Liver Function Tests and Renal Function Tests
  • Pharmacy services such as Free ARV’s and medicines for opportunistic infections
  • Prevention of Mother to Child Transition (PMTCT) and family planning service in our ANC and reproductive Clinics
  • Gender Based Violence (GBV) screening
  • Nutritional counseling and supplementation
  • Post-exposure Prophylaxis to rape survivors, occupational needle pricks and exposure to contaminated blood and body fluids
  • Advocating for care and support for HIV/AIDS patients through Post Test Clubs and recruitment by expert patients
  • Social work services; this includes coordinating networking between Comprehensive Care Centre (CCC) and other HIV/AIDS service providers, follow up and linkages
  • TB screening and treatment
  • Adherence and supportive counseling to patients and also mentorship
  • Psychosocial support groups including high viral load, youth and adolescents, adults, care givers among others
  • Family planning services and cervical cancer screening for HIV/AIDS patients
  • Strategic information in HIV management.
  • Training and facilitation of operational and clinical research in the field of HIV/AIDS management
  • Training in comprehensive HIV/AIDS management and care to health care providers
  • Research and studies
Couple Counselling Centre
Services Offered;
  • Couple HIV counseling and Testing Services
  • Supporting HIV Discordant couples
  • Safer conception (preconception) options/services to HIV discordant couples
  • Family Planning Services
  • Screening women for Cervical Cancer
  • PREP services to discordant couples and the general population for HIV prevention.

    • We are situated at KNH Comprehensive Care Center room 2
Services Activities
  • Lung disease management
  • Bronchoscopy
  • Thoracoscopy
  • Chest tube drainage and pleurodesis
  • Pleural biopsy
  • Asthma management
  • Drug sensitive tuberculosis management
  • Multidrug resistant tuberculosis management
  • Pulmonary lung function testing
  • Pulmonary rehabilitation
  • Research in lung disease
The Dermatology Unit is an establishment within medicine department and was set up over 20yrs ago. The unit is mandated to provide specialist care to skin-related issues that meet the best professional standards. It’s also a dermatology training base for the hospital and collaborating institutions.
Adult dermatology outpatient clinic: Fridays, 8AM at Clinic 17

Paediatric dermatology outpatient clinic: Wednesdays, 8AM at Clinic 23

Services Offered

  • Phototherapy 3 panel UVA, UVB and PUVA
  • Cryotherapy
  • Chemical and electrocautery
  • Skin related diagnostic procedures
Future Plans

  • The establishment of allergy testing including patch tests for industrial chemicals
The Endoscopy Unit is established to visually inspect the gastrointestinal tract using a video camera attached to the end of a long thin flexible tube (endoscope).

Future Plans
  • Gastroscopy
  • Colonoscopy
  • Flexible sigmoidoscopy
  • Endoscopic retrograde cholangiopancreatography (ERCP)
  • Percutaneous endoscopic gastrostomy (PEG tube)
  • Polypectomy/ endoscopic mucosal resection (EMR)
  • Balloon dilatation
  • Oesophageal stenting
  • Biliary stenting
  • Band Ligation
  • Bronchoscopy
The KNH Haemophilia and Bleeding Disorder Clinic was launched in 2014 through the support of donors to provide comprehensive care to patients with haemophilia and bleeding disorders.

The clinic serves both adult and paediatric patients, and is located in Clinic 17 and runs from Monday to Friday; 8AM to 5PM.

The success of this clinic has been hinged on support from the KNH management, Kenya Haemophilia Association (KHA) and donation of factors by the World Federation of Haemophilia (WFH).
Services Offered
  • Review of new patients who present with bleeding disorder and need diagnosis
  • Infusion of a factor (either factor VIII (8) or factor IX (9)) to patients with haemophilia on follow up
  • Review of existing patients who present with bleeds and offer initial management (icepack, analgesic, splinting of limb where necessary as well as on-demand factor administration)
  • Follow up and administration of Emicizumab (monoclonal antibody that has been developed for patients with Factor 8 deficiency)
  • Daily review and factor administration of patients admitted to the wards
  • Participating in trainings (in and out of the hospital) to capacity build health care team to manage patients with haemophilia and other bleeding disorders
Since 1966, the Medical Social Work unit at the Kenyatta National Hospital has played an integral part in the hospital’s effort to provide holistic care to our patients. As part of the multi-disciplinary team, the medical social workers are responsible for the classification of admitted patients according to their socio-economic and other needs.

Services offered:
  • Psychosocial and Socio-economic assessment and planning
  • Provides social work case management services that optimize client functioning
  • Risk assessment and Support
  • Psychosocial emotional Support and counselling
  • Discharge Planning
  • Conduction home visit
  • Financial Assistance
  • Crisis Intervention
  • Networking/Referral
  • Home placement
  • Repatriation and reintegration
  • Provides assistance to disadvantaged and abandoned patients
The KNH Renal Department prides itself for a state-of-the-art Centre for Kidney Disease and Organ Transplantation and is responsible for providing renal care services to patients.

Services offered:
Clinics

  CLINIC NAME DAY & TIME LOCATION
1. Dialysis Clinic Mondays 8AM-1PM Transplant Wing
2. Dialysis Access Clinic Mondays 8AM-1PM Transplant Wing
3. Transplant Clinic Tuesdays 8AM-1PM Transplant Wing
4. Renal Clinic Fridays 8AM-1PM Clinic no. 24.
5. Paediatric Renal Clinic Fridays 8AM-1PM Clinic no. 23.
2.In-patient Services
  • Renal unit
  • Transplant wing
  • Ward 7a
  • Paediatric Renal Unit
3.Procedures
  • Kidney biopsy
  • Hemodialysis & other extracorporeal treatments
  • Dialysis access insertion and removal
  • Arterio-venous fistulae fashioning
  • Kidney transplantation
4.Laboratory Services
  • Haematology
  • Biochemistry
  • Therapeutic drug monitoring
  • HLA and tissue typing
5.Supportive Services
  • Renal counselling
  • Nutritional counselling
  • Biomedical services
  • Health information